Individual
ADAM GOTTLIEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
387 OCEAN AVE, MASSAPEQUA PARK, NY 11762-1623
(516) 528-4329
Mailing address
387 OCEAN AVE, MASSAPEQUA PARK, NY 11762-1623
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
309995
NY
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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